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Kaplan Qbank USMLE



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q from UW:

a pt with peri-orbital edema, LL edema. History 10 yrs DM, Glycosylated hb 6, normal labs exept for Hypertention & creat = 3.5

the ans to the most imp next test is aggresive Bl pressure control to decelerate RF

my qs:

1 know now that ACE (-) are CI d t his high creat ( CI if creat is > 3)..so what should we use know??

2 they also mentioned the use of Angitensin recept bls, r they used for the bl pr here ( is the high creat a CI for it too)??

or we should only use a diuretic or add to it a BB ( i don't Ca channel Bs are accepted here d t his peripheral edema)???








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